JOHN DAVID MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102775

License Status

ACTIVE

Business

First Name

JOHN

Middle

DAVID

Last Name

MOORE

Suffix

Business Name

JOHN DAVID MOORE MD

Original Issue Date

06/21/2000

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2023